MEDICARE: DR. SARAH KIM DDS, MPH, CPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	31528	TX

General Provider Information

NPI Number	:	1740626118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH KIM DDS, MPH, CPH

Provider Business Mailing Address
First Line	:	7109 NAVAJO TRL
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76135-3946
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7109 NAVAJO TRL
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76135-3946
Country	:	US
Telephone Number	:	817-238-6450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2013
Last Update Date	:	11/20/2025

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